HomeMy WebLinkAbout2524 POPLAR LN - Building Permitse ,�r
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Job Add�ess: 2524 POPLAR LN
Suite:
Vicinity: BUILDING 5
Parce� Number: 43917262
App�icant: LYLE
Address: 23015 DEL LAGO
LAGUNA HILLS CA
CITY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
BUILDING PERMIT
Zoning:
Phone: (714)583-1658
Zip: 92653
owner: LAUREL POINTE HOA
Address , 100 EUCALYPTUS LN �
Phone:
COSTA MESA, CA � Zip: 92627
Contractor PRO-TECH WEATHERPROOFING
Address: 23015 DEL LAGO
LAGUNA HIILS CA
Zip: 92653
Arch :
Address:
Phone: (714)583-1858
License: 620476
Eng:
Address:
PERMIT NUMBER
00-00405
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 03/29/2000
Issued: 03/29I2000
ISSUED BY: ���'�
Phone: � Phone: �
Zip: License: , License: �
- SCOPE OF PERMIT ,
REROOF - T/O, USE EXISTING SHTG, INSTALL GAF (GRAND SEQUORA) COMPOSITION SHINGLE ROOF FOR BUILDING ,
#5. �
2524 & 2526 POPLAR LN. .
Plan Check: $0.00
Permit: $97.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $97.75
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING Existina: o
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING 8 ZONING
LeR 0- 0
Left 0- 0
Pr000sed: 0
Calc Valuation:
Claim Valuation:
Right 0-0
Right 0-0
$3,400.00
$3,400.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulalions. (Ord. No. 92-28, § 1, 12-21-92) ,
EXPIRATION: This permit shall automatically expire and become void if work is not�commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspeetlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626 �
�
WORKERS' COMPENSATION DECLARATION:
I hereby aflirtn untler penalry ot perjury one of the following declarations:
❑ I have and will maintaln a certificate of consent to self-Insure for workers' wmpensation, as provided tor by section 3700 of the Labor Code, for the peAormanca of ihe
work tor which this parmit is issuetl.
�I heve and wiil maintain workers' compensation insurence, as required by section 3700 of the Labor Code, tor ihe peAortnance oi lhe work for which this pertnit is issued.
My workars' cgm0ensation Insurance cerrier and policy number ere:
Carrier. V I�-✓a� N`� �� f1' Policy Number: �� �� 7`���/ 3 7
(This sectian neetl no( be comp/ered it the Oermit Is valued et one hundred dollers ($700) ar less.) '
❑ I certity ihat In the pertormance ot the work for which this pertnit is issuetl, I shall not employ any person in any menner so as to bacome subject to ihe workers'
ws of Califomia, end a9ree that if I should become subject to Ihe workers' compensetion provisions oF Section 3700 of ihe Labor Cotle, I shall forthwith
compl with ihes provisions. /� �'
pplicant Si ; 1� Dete. z�% �
WARNING: FIJLURE TO SECURE WORKERS' COMPENSATIIXJ COVERAGE IS UNL4WFUL AND SHALL SU&IECT MPLOVER T IMI PENALTIES AND pVIL FINES UP TO ONE HUNDRED
THOUSANDDOLLARE(5100.0OO�.INAO�ITIONTOTHECOSTOFfAMPENSATION,�AM4GESASPROVIDEOFORINSEC 60FTHElABORfADE,INTEREST,ANDATTORNEY'SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aNir r�-Xce sadandP` provisions of Chapter 9(wmmencing with Section 7000) oi ''' Business antl Professions Code, and my license is in tull
f� a. uc. #T � b jv17Co �Class a G y v
Coniratlo� 5'oneture' / /l � � y �"
CONS7RUCT10N LENDING AGENCV:
� I hereby attirm that there is a construction lending agency for the performance ol ihe work tor which this permit is issuetl. (Sec. 3097, Civil Code).
Lender's Name: Lentlets Adtlress:
Signature:
OWNER-BUILDER DECLARATIONS:
Dete:
I hereby aHirm that untler penalty ol perjury Ihat I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions
Cotle: Any city or county which requires a permit to consirucL alter, improve, demolish, or repair any strucNre, prior to its issuance, also requires Ihe epplicant tor such permit
to tila a signed statemeM ihat he or she is licensetl pursuant �o �he provisions of ihe Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of �he
Busineu ana Professions Cotle) or that he or she Is exempt therefmm antl the basis tor the alleged e:emption. Any violation of Section 7031.5 by eny aDPlicant for a permit
sub�ects the applicent to a civil penelry o1 not more Ihan five hundred dollars ($500).):
❑ I, es owner ot lhe properry, or my employees with wages as their sole compensation, WILL DO THE WORK, and ihe siructure is not intended or ottered lor sale (Sec.
7044, Business and Professions Code: The Contractors License Law does not apply to en owner of property who builds or improves thereon, and who does such work
himself or herself or thmugh his or her own employees, provitletl that such improvements are not intended or oRered for sele. If, howevar, tha builtling or impmvemem is
soltl within one year of completion, Ihe ownerbuilder will have the burden of proving ihat he or she ditl not builtl or impmve for puryose of sele.).
❑ I, as owner ot the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to canstruct the project (Sec. 7044, Business antl Professions
Cotle: 71ie contractors License Law does not appry to an owner ot properry who builds or improves thereon, and who coniracis tor such prolect with a comractor(s)
license pursuant b the Comractars License Laws.).
❑ I am ezempt under sac.
Signature:
Owner ID verifietl by tlrivels license. ❑ Yes ❑ No
Business and Professions Code for this reasan:
Veriticalion of Ownership by (type of tlocument, i.e. - propeny tax bill or deed):
Driver'S LicenSe No.
Date:
Expires:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby cenity that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authonzed by ihis
permii, antl that no builtling simcWre, scaRolding, falsework, or demolition or dismantling Ihereoi, witl be more Ihan thirty-six (36) feet high. (Chap. 32, Gry 2, Atl 2, Sec.
341, Title B, Celitomia Atlministrative Code).
❑ As ownervbuilder, 1 will not employ anyone to do work which would requira a permit from ihe Division of Intlustnal Satery, as noted above, unless such person has a
permit lo do such work from the tlivision.
Signature: Date:
Division of Indusirial Safery Permit Number:
CERTIFICATE OF COMFLIANCE AND AUTHORVATION OF ENTAV: I cehify under penalty ot perjury Ihat I have read Ihis application and state ihat Iha intormation given is
correct. I agree to comply with all state laws and ciry ordinances relating to building constmction, and authorize representatives oi ihe Ciry of Costa Mesa to enter upon ihe
above-descnbed propetly for insDection purposes. I egree not to occupy or allow occupancy ot any huilding authorized by this pertnit until final inspection.
COOE 1. INSGECTIONTYGE
1616 Fixetl System Final Fire Preventlan
1266 Pool Spa Final
200 Finel Ra-Roof
201 Final Block/Rataining Wall
202 Final Fectory Fire Place
203 Final Sign
204 Final Demolitian
244&a6
PpT& nnrtu�s
CO�Et INSPECTIONTYPE
206 Final Mechanicel
208 Final Plumbing
210 Final ElecMcal
212 Final Fire Prevention
220 Final Planning ApProval
222
250
Final Site
Final Builtling/Occupancy
�
Date
49IF. IxrmnLS
�
CITY OF CQSTA MESA
REYXJEST FCJR OCQJPANGY
TRACI' NO. 10097
L�li' NO. 9
��S 2526 Poplar Lane, Costa Mesa, CA 92627
�TE� NovemUer 26, 1979
Zhe develoQer of the above entitled tract desires to sell the above set forth
lot prior to the time that the tract has been �npleted•and its streets
accepted b� the City of Cr�sta Mesa.
By executing this agreement, the undersigned acknavledges that he/she/they
was/+,ere advised that this tract has not been given final inspection nor has_. -
it been accepted b� the City of Costa Niesa as having mapiied with the conditions
of approval which were inposed b� the City at the time the Final Tract Map was
apprwed.
The City assim�es no liability for the enforcement of the conditions necessary
for appioval other than th�e conditions protected b� surety bond.
The undersigned agrees to indemnify and hold the City harm7.ess from any claim
resulting in da�ge or personal injury to the undersigned b� reason of the
afor�nentioned uncarpleted condition(s).
� � ,�� '� �,, , i�;
CITy OF COSTA MESA
PLANNING D€PT.
SU81@CT TO BLDG. DEPT. RE0.
ir-1�-��
ev . _ _ ...,..._ DATE..�
OIRECTOR OF PLANNINO
4j19
uthorized representative
CALIFORN FIDERAL SAVINGS &`7A11N AS IATION
� �
(Signature of Le r)
Richard A. Gaunt, Assistant Vice President
" nqL �
_ I �����.5�.
������ �.
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to FiII in Completely — Use Ink
BUI�DING�,._� .i , n.�.. .%�I a.. � w.
OWNER Mon
ADDRES�O�.
ciTv . New
CONSTRUCTION
LENOEF
BRANCH
ADORESS
ARCHITECT
OR ENGINEER
ADORES�e{(
CONTRACTOR
ADORESS
CITV
STATE
LIC. NO.
SIZE
OF LOT
TEL.
NO. %
TEL,
NO.
CITV
LIC. NO.
�
INO.OF BLDCS.
NOW ON LOT
EXISTING BLDG.
Separate permits are required-for
electric, plumbing and heating work.
VSE OF BUILDING AND WORK TO BE PERFORMED
I hereby acknowledge that I have reatl this application and state
that the above information is corract antl agree co comply with
ail laws re8ulatin8 builtling consvuction, antl I shall not employ
any person in violation of the workman's compansailon laws of
t�e State of CeliforNa. '
I he�eby certify that m ptoperly licensetl es a contracior untler
tha Siate of C orni usinass antl P�ofessions Cotla, Division 3,
chaprar 9, d r ar n licenses ere fn full torce antl effeci, or I
amexempt ro th ovisi nsotthe allfornia6usines5
antl Professi 'vi , C e 9.
Sie�ature o ,
Permittee
Authorizad Agant
�
3
APPLiCATION
RECEIVED BV
ADDfiESS
FIRE
a��"-,4 a-��s�,�
NEn NO.OF
� PLAMY
YARDSAPPROVED
MAIN BUILDING
iOM C/L STREET)
�eoa ioia�ize
DISTANCE BET:
MAIN BLDGS.
VAR. � �•
C.U.P. �{`t.Z �' �flj
APPROVED�. _ . /� p�•
R� �c.<ik
IOLD FOR SPECIAL
12J�.6J' -TL''
1'21': 61 C KTU
.. ..�p.._ --
vv
/� PE�M� `•
/ �P /)�
� O /%/cA/.
BLOCK'
1/'f.�
� UE �
$
OU �
DATE,O 27 '
USE OF NEW �
BUILOING �/
YAqDS APPROVED
ACCESSORY BUI�DING
BET. MAIN &
iz -a �-
.�7-?g
THE AMOVNTSHOWN UNDER VAlUAT10N IS FOH
THE PURPOSE OF ESTAHLISHING A PERMIT FEE ONLY:
VALUATION �, PERMIT FEE $
$ /�/`� _ — TAX CHECK $ / �
� /1
TOTALPAID- $
n
m
'v
�
F
�
W
a
Q
y
h
.'L'
F
� �_
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. 80X 1200 COSTA MESA. CALIFORNIA 92626
�93� .ioisai�e
�oa�� invanim-
233���KTti
APPLICATIONF076�PRUQU�JR41f16BFi816tIT -IA � "
For Applicant to Fdl in Completely se Ink Only RECEI V ED B V DATE RECENED
BVILDING � [ D oEt���
ADDRES �J
PERMIT NO.
OWNER v ` P..P. NO.
MA�� BUILDING �
ADpqESS ADORE
TEL. TRACT l0T BLOCK
CITy NO.
WNSTFUCTION EW D AL R q P
LENOER
BRANCH
OWNER �
ADbRESS A UE
ARCHITECT TEL. S � $
OF ENGINEER N .
FIRE
ADDPESS ZONE TVPE GROUP
APPROVED
CONTRACTOR BY DATE
ADDRESS
TEL ZONE NO.OF USE OF NEW -
PLANS � BUILDING
CITy NO.
STATE CITV �'AROSAPPFOVEO VARDSAPPROVED
LIQ NO. I.IC. NO. MAIN BUILDING ACCESSORY BUILDING
SIZE NO.OF BLOGS. (FAOM L/L STREET)
OF �OT NOW ON LOT FRONT FT. FT.
US� OF
EXI$'��NG BLDG. SI F FT.
Separa[e perrtuts are required for L.S�OE FT. FT.
electric, plumbing and heating work. REAR FT. FT.
US� OF BUILDING AND WORK TO BE PERFOFMED DISTANCE BET. . BEf. MAIN &
MAIN BLDGS. ACCESS. BLOGS,
'. VAR. # DATE
C.U.P.�y. APPROVED
APPROVED
I hqreby acknowlatl8e chat I have reatl this application antl stste �+
ihat tha above information is correct antl agree 2o comply wit� �
m
all �ews regulating bullding construction, antl I shall noc employ
eny pe�son in violetlon of the workman's compensation laws of m
the State of Calitornia.
SQ. FT. °D
I hg�eby cartify ihat I am prope�ly licansetl as a contractor untlar �
the State of California Business end Professions Cotle, Dlvision 3, THE AMOUNT SHOWN UNDER VA�UATION IS FOR �
m.
cnap�� s, ene vnax avcn ii�enses are tn (ull force antl effect, or I THE PURPO6E OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Business VAIVATION PERMIT FEE a
antl Professions Cotle, Division 3, Chapter 9. $ �n
n
PLAN CHECK § �'1
5�8�Bture Of LL
Pe�r�Ittee $� TAX $ �
U
Autho�ized Agent TOTAL PAID S
CITY OF C�'I'A MESA
RD�IIFST �R OCCUPANCSt (� �'� »�' •� � �
CIiP �F G.���,r,. lCr..iA
DEVElOPP1cN� 5�����'-'�� U.,-aliYM�Nfi
TRACT NO. 10097 IYiTE: T��T�4, 1979
LC7I' NO. 10
�M
�igi�� ,.��.ii�ki5�6
ADD�SS 2524 Poplar Lane, Costa Mesa, CA 92627 �
�he develcper of the above entitled tract desires to sell the above set forth
lot prior to the time that the tract has been oonQleted and its streets
accepted tX the City of Costa Mesa.
By exewting this agrePment, the undersigned ackna�ledges that he/she/they
was/c.ere advised that this tract has not been given final inspection nor has
it been accepted b� the City of Costa Mesa as having conplied with the conditions
of approval which were inpcsed b� the City at the ture the Final Tract Map was
approved.
The City assimes no liability foz the enforcen�ent of the conditions necessary
for approval other than those conditions protected b� surety bond.
The undersigned agrees to indemnify and hold the City harmless from any claim
resulting in damsge or personal injury to the undersigned b� reason of the
aforementioned unconpleted condition(s).
2!� 'ti/ �if�p BY (S g aOtui
� - �A��
ULG�
� APP OVED � BY cSl t�
CITY OF COSTA MESA
PLANNING D€PT.
SU6JECT TO BIDG. DEPT. REG.
- BY v�'!:.�'^_.._ DATE... ��.12.2�Z R•
DIRfRd! OF PUNNING
4n9
CAL2FOR ERAL �ITh'G� b. � AS�TION .
l�
�
(Siqnature of Lend �
Richard A. Gaunt, Assistant Vice President
I �I�(���
�
�
PflOJECTADOXE55: ZSZFJ POFLAR .Twi�
owNcasenme: pETTITT JEFFREY`�_1
aooness: 2526 PO{�LAR LN
COSTA MESA,CA 92627
BPCMIENCMEEB:
AOONESS:
NEG.NO.:
I1NIT:
uxiT:
PEpmiTTEE:.lEFPREY PETTITT (714)642-2045
noosess: 2526 POPLAP, LN
C.M, CA 92627
UCENSEU CONTPNCTOP OECLABATION: I �ereby aHirm �hat I am hcensetl untler provisions o� Chapter 9(commencing wi�� Sec�ion
7000) of Dimsion 3 ol Ihe Business and Pro�essions CoOe, and my license is in �ullforce and eflecl.
pTY llG.: STRTE LIC.: ClASS:
�ale: Signature:
WOPNEHS' COMPENSATION DECLABPTION: I �ereby affirm Ihat I have a cetlificate ol consent to sel6insure or a cenificate of WOBers'
Compensalion Insurance, or a cehi�ietl copY thereol (Seclion 38011. La�. C�.
'OLICY NO.: E%P. DFTE:
'OMPPNY:
� Cenitied copy is nereDy fumis�etl. ❑ Certilietl capy is �ilea wilA the ciiy BuilAing Oivision.
Da�e: Npplicant�.
E%EMPTIONFNOMWOPREPS'COMPENSPilONOECUflATION: (T�i55etlionne¢�notb¢tompl¢Ietlil�hepermilis�aronehunOretl�5100)arless�.
I cetlily Ihal in Ihe perlormance ol Ihe work �or which Ihis permil is issuetl. I shall not employ any person in any manner so as lo become
sublecl to �he Workers' Compensation Laws of California. ` �1
Date: �� �%t5' q3 Signalure: W�iM�'�
NOTICE: II, alier making Ihis aeclaraiion, you shoulJ become su�lecl e Workers' Compensation pmvisions o� the La6or
Code. you mus� fort�wilh comply wiih such pmvisions or Ihis Dermi� shall �e tleemetl revoketl.
CONSTPUCTION LENOING AGENCY: I AereOy affirm thal Ihere is a constmciion IenAing aAency lor Ne pedormance o� Ihe wark �or
wAic� this oermi� is i=suea (Sec�ion 3097. Civ. C).
LENOEP:
AODflESS:
OWNEB BUILUEB OECLANpTION: I here�y a��irm ihai I am ezemp� hom �he Conirac�ors' S�a�e License Law tor �he tollowing reason
(Seclion 7031.5 Business ana Pmiessional CoOe Any ciiy o� coun�y which requires a permil Io con5Vuc1, ai�er, impwve, tlemolish, or
repair any simcWre. pnor to its issuance, also requires Ihe applican� for suc� permit to tile a signetl s�a�emen� Iha� helshe is Iicen5e0
pursuant lo �he provisions oi Ihe Comractors' State License Law (Chapter 9(commencing with Seclion 7000) ol �ivision 3 oi t�e 9usiness
ana Pmlession5 Coae) or ��a� �e/she is exemp� iherefrom antl �he basis �or Ihe allege� exemp�ion Any viola�ion of Section 70315 by
any applicantlor a permil sublecls Ihe applicantto a civil penalty of nat more tAan five �unOred tloltars (55110�.
'� I, as owner¢of Ihe propeny or my employees with wages as iheir sole comDensatioR will do ine work, antl ihe
� s�mcmre is not imenaeA or otiere0 tor sale (Section 7044, Business and Professional Code: The Conimctors' State License Law
aoes nal apply Io an owner o� a pmperty wha 6uild5 or impwves therean, and who tloes such work himseli/hersell or I�rough
Ais or her own employees. pmvidetl �hat such impmvemen�s are not in�entled or of7ere0 �or sale. I�, however �he building or
improvemem is soltl within one year o� completion, t�e owner will have I�e bur0en ot pmving he/she did noi buila or impmve
lor ihe purpose ol saleL
I, as owner o� �he pmperty, am exclusivety con�rac�ing wi�h Iicense0 conVac�aB to cons�mct the pmlect (Section 7044. 9usiness
❑, antl Profes:ions Cotle'. The Comracmrs' Stale License Law does not aDDly �o an owner o� pmpeny who �ui1Js or improves Ihereon
� an0 who conVacts lor such pmlecis wi�h a conlrac�or�s� license pursuam m tlie Contractors' Sta�e License Law�. I am aware
Ihai pmol of �heir Worker's Compensation insurance shoulA be pwvitled lo me.
� I am exemp� untler Section: B. 8 P. C.
for Ihis reason: '
�aie: �� /��'Q3 Ownec__��n�+��
I ao hereby cenity �hal I am aware of and untlerstantl ��e requirements o� Califomia Health ana�Salery Cotle Seclions 25505, 25533, antl
2553a antl ��at I or any luture Duilding occupanl willlwill no� (circle one� neetl �o comply with saiA sia�e codes antl Ihe requiremenis �or a
permi� lor con9mclion or modificalion imm Ihe Nir Oualiry Management �isVict. ReSidenlial con5�mciion applications are exemp� imm
t�ese provisions.
Date. Applicani:
I hereby tertity �ha� I have reatl Ihis apPlication antl s�aie thal lhe above in�armation is carrec�. I agree Io compty wilh all ciiy anU coun�y
oreinances ane slale laws relatmg lo buitemg conslmction antl hereby aNhorire represenlalives of �his ciry to enler upon �he above-men�ione0
pmpehy for inspectlon purposes.
Oaie: �� 1�4 IQ'� SignaWre'. \�
Oriver's Liwnse or Socia� Securi�y
i64ba6 Whne—Builaing: Green—Cotle EnlorremenL Canary—Ap01¢anl: Pink—Revenue: Goltlenrod—Assessor
PERMIT NO; P
�
CITY OF COSTA MESA — HUILDING PERMIT
065100 PLAN CHECK NO: N
CONSTRUCTION TYPE: PERMIT TYPE: PLU
JOB DESCRIPTION : LEGALIZE WATER HEATER REPLACEMENT
CLAIM VALUE:
CALC—VALUE:
PERM NO: P 065100
GOVT: N SUPP; N
PURPOSE: REP
SQ FT:
GROUP OCC: /
COMM£NTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT
***�r***�*�*�r**��*x**�*x�r*�r*�r*��**��*x�*+�**�*****�*�**��r***�r*�*�*���*�����*�r****
Z O N I N G A E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILPING ---------- --------- ACCESSORY BUILDING ---------
FRNT; FT IN REAR: FT IN FRNT; FT IN AEAR: FT IDd
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
PARKING RE • PROV: PARCEL: 43917261 ZNE: REF NO;
F'LANNING N TES>
> ,i
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D E V E L O P M E N T S E A V I C E S'�� R E Q U I R E M E N T S
ZONING APPROVED BY �" DATE:
BUILDING APPROVED HY : � DATE;
APPLICATION ISSOEP BY: �r-' DATE: \�1�(� �
9f3f�1fiEiEiEiEiEifiFiEitiEiPi£jEiPiEiFjfitiEiP iE k itir'3F3F��iF3fiEiE3c�Fjf?FjfjEikiE�:iF�kiF��l�iEiFif9E
jE # if�lE ifi�'��lE i+��lf !E iE if lfiE iEif if if if iE ii*iE if i(�9F iE�7E�k 1E M iE �E iE iFiEiE i�-iE iE iE if if if iE iF 1F'if iE if �4 if aF 3F�lE if iF if i4�k iE iF 1f jE if if if �i�1E 3f if iF #aFdF !F �E 1Eifif
LEGALIZATION:Y F E E S U M M A R Y STRUCTURAL SEGMENT:N
/
BLDG PMT PLUMBING ELECTf1iC MECHANIC FIAE SMIP/RES GRADING
PERMIT 14 , 00 � ''
258 i;f t' SMT_P/NON—RES
PLAN '
ISSUE FEE 20.00 �� ��
BUILDING—DIV—> PERMIT ISSUE PLAN=CHECK TOTAL PAID DUE
TOTALS----> 14.00 20,00 `�, ���0.00 34.00 34.00 .00
RE��ENUE DIVISION TOTALS--> COLL'EC'�ED: 34.00 O�TEP,/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHAi�IIC FIRE SMIP/TOT GRADING PLAN—CHECK
34.00 ��
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TYPE
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I N D I V I D U A L° .F E E
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QTY D E S C R I P T I O N.,
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1 WATER HEATER AND/O&'-VENT
'END��OF FEES
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B R E A K D O W N
UNIT COST TOTAL COST
7,00 7.00
rr3 OUS_`+1�4:-001`,.14ti�J :rC�T 3-'I.001
DATE: 11i3C1/93 TIME: �b.31
CONSTRUCTION AND PIANNING -
APPROVALS Permit #
1. Temporary ElectriCai 5ervice or Poie
2. Soil Pipe-Undrgrnd.
3. E�ectrical Conduit Utility-Undrgrnd.
4. Electrical Conduit•Undrgmd.
5. Steei Reinforcemenc
6. Elactrical UFER G�nd.
7. footings
' 8. Foundation
. Water Pipe-Undrgrnd.
10. Structural Floor System
1 i. Properry Sewer Line & House Connection
� 12. Sewer Cap
L
13. Roof Orains
14. ftough Pfumbing
� 15. Rouyh Electrical-Conduit
� 76. fioughElectric4Viring
17. Rough Wiring Sign �
18. Rough Electrica6T Bar Ceiling
19. Rough Heating & Air Conditioning
20. Rough Factory Fireplace
21. Duets, in Structure
22. Dutts, Ventilating
23. Gas Pipe�Rough & Test
24. Roof Framing
25. Roof Sheathing
26. T-Bar Ceiling (Structural� & blonocoat
27. Frame and Flashing
28. ! athing & Siding
29. Insulation � �.�
30. Orywall Nailing
37. Plaster Brown Coat
32. Electrical Power Meter-Final
33. Final Electrit .
34. Final Heating & Air Conditioning
35. Final Gas Pipe�Test
36. Hood or Canopy
37. Final Factory Firep�ace
38. Finai Piumbi�g
39. Water Service�Final
40. Gas Service-Final
41. Solar pomesticFinal
42. Backtlow Preventer
43. Backflow Irrigation
44. landscape Irripacio� System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINALPLANNING
49. Electric Release to Edison
50. Gas Aelease to Southern California Gas
51. CERTIFICATE 0� OCCUPANCY
Date
.
�
��,
� �PLvL & SPA
Date Inspector qppROVALS Permit #
52. Pool & Equipment Location �
53. Steel fleinforcemeni � �
,� 54. Forms _
55. Electrical Bonding •
56. Rough Plumbing & Pressure Tesi
57. APPROVALTOCOVER-GUNITE
56. Electrical Conduit�Undrgrnd.
� 59. Gas Pipe, O Undrgr�d_, Test
60. Backwash Lines, P-Trap, � Undrgrnd.
61. APPROVAL TO DECK
�� 62. Backwash & Receptor-Pinal �
' 63. Heater & Vent-Fi�at '
fi4. Plumbing SYstem � Final �
65.- E�ectrical�Final
66. Solar System-Fina� - '
67. Peneing & Access APproval
68. APPROVED FOR PLASTEFING
69. POOLlSPRSYSTEMSFINAI
FIRE DEPT. REQUIREMENT
APPROVALS Permit#
� 70. Unde�ground Hydro
71. Product Piping � Gas ❑ Oil
72. Underground Flush
73. Undergrnd. Storage Tank L� Gas � Oii
74. Overhead Hydro
75. Dry Chemicai .
76. Dry Standpipe .
77. FIXED SYSTEM FINAL .
78. FIRE PREV. FINAL _ �
HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION
80. FOOD CERTIFICATE ISSUED
ti
.. y ,. ..
Date � Inspector
a
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